Linguistic Acculturation and Skin Cancer-Related Behaviors Among Hispanics in the Southern and Western United States
Linguistic Acculturation and Skin Cancer-Related Behaviors Among Hispanics in the Southern and Western United States
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DOI：
10.1001/jamadermatol.2013.745
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发表时间：
2013-06-01
期刊：
影响因子：
10.9
通讯作者：
Goydos, James S.
中科院分区：
文献类型：
--
作者：
Coups, Elliot J.;Stapleton, Jerod L.;Goydos, James S.
目的：研究语言文化适应(使用西班牙裔二维文化适应量表中的语言使用和语言偏好子量表进行评估)与美国西班牙裔成年人皮肤癌相关行为之间的联系，以确定与西班牙裔美国人相比，英语文化适应拉美裔美国人是否会报告较少的遮阳和使用防晒服，以及较高的使用防晒霜、日光浴和室内晒黑的比率。设计：2011年9月进行的在线调查研究。背景：美国南部和西部的五个州。参与者：788名西班牙裔成年人的基于人口的样本，来自全国有代表性的网络小组。主要结果：自我报告的防晒霜使用、寻求和室内晒黑的比率使用防晒服、日光浴和室内晒黑。结果：多元回归分析检验了皮肤癌相关行为的预测因素。正如假设的那样，与西班牙文化适应的西班牙裔相比，英国文化适应的西班牙裔寻求阴凉和使用防晒服的比例更低，而日光浴和室内日光浴的比例更高。具有英语文化背景的拉美裔美国人和具有双重文化背景的拉美裔美国人(即高度西班牙语和高度英语文化适应的拉美裔美国人)的日光浴和室内日光浴的比例相对较高。结果表明，与西班牙文化适应的西班牙裔美国人相比，具有双重文化背景的西班牙裔美国人寻求遮阳和穿防晒服的频率更低，但比英国文化适应的西班牙裔美国人更频繁。文化适应与防晒霜的使用无关。结论：西班牙裔成年人并不经常从事降低皮肤癌风险的行为。具有双文化和英语文化背景的拉美裔美国人尤其需要皮肤癌预防干预。
Objective: To examine the association between linguistic acculturation (assessed using the Language Use and Linguistic Preference subscales from the Bidimensional Acculturation Scale for Hispanics) and skin cancer-related behaviors among US Hispanic adults to determine whether, compared with Hispanics denoted as Spanish-acculturated, English-acculturated Hispanics would report less frequent shade seeking and use of sun protective clothing and higher rates of sunscreen use, sunbathing, and indoor tanning.Design: Online survey study conducted in September 2011.Setting: Five southern and western US states.Participants: A population-based sample of 788 Hispanic adults drawn from a nationally representative web panel.Main Outcome Measures: Self-reported sunscreen use, shade seeking, use of sun protective clothing, sunbathing, and indoor tanning.Results: Multivariate regression analyses were conducted to examine predictors of the skin cancer-related behaviors. As hypothesized, English-acculturated Hispanics had lower rates of shade seeking and use of sun protective clothing and reported higher rates of sunbathing and indoor tanning than Spanish-acculturated Hispanics. English-acculturated Hispanics and bicultural Hispanics (ie, those with high Spanish and high English acculturation) reported comparably high rates of sunbathing and indoor tanning. Results suggested that bicultural Hispanics seek shade and wear sun protective clothing less often than Spanish-acculturated Hispanics but more often than English-acculturated Hispanics. Acculturation was not associated with sunscreen use.Conclusions: Hispanic adults do not routinely engage in behaviors that reduce their risk of skin cancer. Bicultural and English-acculturated Hispanics are particularly in need of skin cancer prevention interventions.